Postoperative Status in Cervical

Early diagnosis and accurate staging are essential for appropriate management of cervical cancer, one of the most common cancers and leading cause of cancer deaths worldwide. The objective of present study was to know the correlation between clinical, investigative, surgical and histopathological diagnosis in suspicious and staging in obvious cancer cases. Study subjects were of 20-64 years, diagnosed over 2 years with aid of visual inspection (VI), vaginal and cervical cytology, visual inspection after application of acetic acid (VIA), VI after application of Lugol’s iodine (VILI), followed by colposcope guided cervical biopsy, intraoperative and postoperative staging after histopathology of specimen in clinically suspicious and obvious cancer cases. Of 100 clinically suspicious cancer cases, 10 (27.0%) out of 37 women of 20-40 years (five stage IA and five stage IIA), 14 (22.2%) of 63 women above 40 years (one stage 0, four stage IA and nine stage IIA) were proved cancers after investigations, a total of 24%. Of 78 obvious cancer cases upto stage IIA, 28 (35.9%) were clinically stage IA, 15 (53.5%) remained IA, nine turned out to be IIA, two IB and two were IIIA. Of 29 clinical stage IB, 18 (62.1%) were confirmed IB, three were IIA and eight were IIIA. Of 21 clinical IIA, only seven (30.4%) remained IIA and 14 turned out to be IIIA after investigations. Seventy underwent therapeutic surgery. Staging after radical hysterectomy was stage 0 in one (1.4%), IA in 18 (25.7%), IB 19 (27.1%), IIA in 25 (35.7%), IIB one (1.4%), IIIA five (7.1%) and one was a case of mixed malignant mullerian tumor. Finally of 102 cervical cancer cases (clinically obvious 78 and suspicious confirmed 24 upto stage IIA), one was confirmed stage 0, 18 stag